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16 papers 100 to 500 followers
Jung Ho Noh, Young Hak Roh, Bo Gyu Yang, Seong Wan Kim, Jun Suk Lee, Moo Kyung Oh
BACKGROUND: Biodegradable implants for internal fixation of ankle fractures may overcome some disadvantages of metallic implants, such as imaging interference and the potential need for additional surgery to remove the implants. The purpose of this study was to evaluate the outcomes after fixation of ankle fractures with biodegradable implants compared with metallic implants. METHODS: In this prospectively randomized study, 109 subjects with an ankle fracture underwent surgery with metallic (Group I) or biodegradable implants (Group II)...
November 21, 2012: Journal of Bone and Joint Surgery. American Volume
Hans Polzer, Sigmund Polzer, Wolf Mutschler, Wolf C Prall
Fractures to the proximal fifth metatarsal bone are among the most frequent injuries to the foot. Various classifications intend to distinguish different fracture entities in regard to prognosis and treatment. The most commonly used classification by Lawrence and Botte delineates three fracture zones and gives treatment recommendations based on retrospective case series. Aim of our study was to critically review the literature and reevaluate the classification and treatment recommendations based on the highest level of evidence available...
October 2012: Injury
Thu-Ba LeBa, Zbigniew Gugala, Randal P Morris, Vinod K Panchbhavi
BACKGROUND: The purpose of this prospective study was to determine whether gravity versus manual external rotation stress testing effectively detects widening of the medial clear space in isolated ankle fractures when compared with the uninjured contralateral side. METHODS: Manual external rotation stress and gravity stress tests were performed on injured and uninjured ankles of ankle fracture patients in a clinic setting. Medial clear space measurements were recorded and differences between gravity and manual stress views were determined...
June 2015: Foot & Ankle Specialist
Slavko Tomic, Vuk Vucic, Milan Dobric, Greg Bisignani
No consensus has been reached about the optimal treatment of Jones fractures, especially in elite athletes. Furthermore, only limited experience with external fixation of acute Jones fractures in these patients is available. The aim of the present retrospective study was to report the clinical evaluation of a series of 6 patients--elite athletes--with unilateral acute Jones fracture, who underwent external fixation of the fracture with an Ilizarov minifixator. Treatment success and the intervals to union and the return to full athlete activity were measured for each patient...
May 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
D Herscovici, J M Scaduto, A Infante
Between 1992 and 2000, 57 patients with 57 isolated fractures of the medial malleolus were treated conservatively by immobilisation in a cast. The results were assessed by examination, radiography and completion of the short form-36 questionnaire and American Orthopaedic Foot and Ankle Society ankle-hindfoot score. Of the 57 fractures 55 healed without further treatment. The mean combined dorsi- and plantar flexion was 52.3 degrees (25 degrees to 82 degrees ) and the mean short form-36 and American Orthopaedic Foot and Ankle Society scores 48...
January 2007: Journal of Bone and Joint Surgery. British Volume
Ryan B Rigby, James M Cottom
Syndesmotic diastasis can occur as an isolated injury or with concomitant fractures. A review of 37 patients with 64 TightRopes® for syndesmotic repair was performed, with a mean follow-up of 23.6 ± 4.3 months, from 2007 to 2011. The patients' mean age was 40.67 (range 14 to 87) years. The mean initial measurements were as follows: tibiofibular clear space (TFCS) = 4.1 ± 1.1 mm, tibiofibular overlap (TFO) = 7.2 ± 2.7 mm, and medial clear space (MCS) = 2.9 ± 0.5 mm. The mean final measurements were as follows: TFCS = 4...
September 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
L S Dias, M O Tachdjian
Seventy-one cases of ankle fractures in children were studied. An analysis of the fracture lines involving the distal tibial and fibular epiphyses were done. A new classification is proposed based on the position of the foot at the moment of trauma and the direction of the abnormal force. Four mechanisms were considered, grades were described for each mechanism and each grade always occurred in the same order. In almost half of the cases, the supination-inversion mechanism was responsible for the injury. A correlation with the physeal injury classification of Salter and Harris is imperative, since complications such as varus deformity of the ankle are common when a Salter-Harris III or IV injury is present...
October 1978: Clinical Orthopaedics and related Research
Xin Tang, Lei Liu, Chong-qi Tu, Jian Li, Qi Li, Fu-xing Pei
BACKGROUND: The timing of surgery for osteosynthesis of type C pilon (AO/OTA) fractures remains controversial. The aim of this study was to determine the outcome of early and delayed open reduction and internal fixation (ORIF) for treating closed type C pilon fractures. METHODS: Forty-six patients with closed type C pilon fractures matched according to age, gender, soft tissue conditions, and fracture pattern were divided into group A (early group: underwent surgery within 36 hours of the injury) or group B (delayed group: underwent surgery 10 days to 3 weeks postinjury after the soft tissue swelling subsided)...
July 2014: Foot & Ankle International
Young Choi, Soon-Sun Kwon, Chin Youb Chung, Moon Seok Park, Seung Yeol Lee, Kyoung Min Lee
The Lauge-Hansen classification system does not provide sufficient data related to syndesmotic injuries in supination-external rotation (SER)-type ankle fractures. The aim of the present study was to investigate factors helpful for the preoperative detection of syndesmotic injuries in SER-type ankle fractures using radiographs and computed tomography (CT).METHODS: A cohort of 191 consecutive patients (104 male and eighty-seven female patients with a mean age [and standard deviation] of 50.7 ± 16.4 years) with SER-type ankle fractures who had undergone operative treatment were included...
July 16, 2014: Journal of Bone and Joint Surgery. American Volume
Rull James Toussaint, Darius Lin, Lauren K Ehrlichman, J Kent Ellington, Nicholas Strasser, John Y Kwon
BACKGROUND: Peroneal tendon displacement (subluxation or dislocation) accompanying an intra-articular calcaneal fracture is often undetected and under-treated. The goals of this study were to determine (1) the prevalence of peroneal tendon displacement accompanying intra-articular calcaneal fractures, (2) the association of tendon displacement with fracture classifications, (3) the association of tendon displacement with heel width, and (4) the rate of missed diagnosis of the tendon displacement on radiographs and computed tomography (CT) scans and the resulting treatment rate...
February 19, 2014: Journal of Bone and Joint Surgery. American Volume
M B Berkes, M T M Little, L E Lazaro, P K Sculco, R M Cymerman, M Daigl, D L Helfet, D G Lorich
It has previously been suggested that among unstable ankle fractures, the presence of a malleolar fracture is associated with a worse outcome than a corresponding ligamentous injury. However, previous studies have included heterogeneous groups of injury. The purpose of this study was to determine whether any specific pattern of bony and/or ligamentous injury among a series of supination-external rotation type IV (SER IV) ankle fractures treated with anatomical fixation was associated with a worse outcome. We analysed a prospective cohort of 108 SER IV ankle fractures with a follow-up of one year...
November 2012: Journal of Bone and Joint Surgery. British Volume
I Leah Gitajn, Mostafa Abousayed, Rull James Toussaint, Mark Vrahas, John Y Kwon
BACKGROUND: The purpose of this study was to evaluate prognostic predictors of complications and need for secondary surgery in a series of calcaneal avulsion fractures. METHODS: Thirty-three patients who sustained extra-articular calcaneal avulsion fractures from 2002 to 2011 were retrospectively identified. Main outcome measurement was need for secondary surgical procedures. Secondary complications such as soft tissue complications and loss of fixation were noted...
February 2015: Foot & Ankle Specialist
Kyoung Min Lee, Chin Youb Chung, Ki Hyuk Sung, SeungYeol Lee, Tae Gyun Kim, Young Choi, Ki Jin Jung, Yeon Ho Kim, Seung Bum Koo, Moon Seok Park
BACKGROUND: Injury mechanism and the amount of force are important factors determining whether a fracture or sprain occurs at the time of an ankle inversion injury. However, the anatomical differences between the ankle fracture and sprain have not been investigated sufficiently. This study was performed to investigate whether an anatomical predisposition of the ankle joint results in a lateral malleolar fracture or lateral ankle sprain. METHODS: Two groups of consecutive patients, one with lateral malleolar fracture (274 patients, mean age 49...
January 2015: Foot & Ankle International
Tomoyuki Nakasa, Nobuo Adachi, Tomohiro Kato, Mitsuo Ochi
BACKGROUND: Osteoarthritis (OA) is characterized not only by cartilage degeneration, but also subchondral bone changes. The subchondral bone plate (SBP) plays an important role in cartilage metabolism, and elucidation of the relationship between the SBP and cartilage degeneration would be helpful to determine the most appropriate treatment strategy for ankle OA. The purpose of this study was to evaluate the SBP and to compare it with cartilage degeneration with arthroscopic findings. METHODS: Computed tomography (CT) was used to compare the thickness of the SBP of 11 ankle OA patients with that of 11 non-ankle OA patients in 9 areas of the talar dome...
December 2014: Foot & Ankle International
Dong Wang, Jian-Ping Xiang, Xiao-Hu Chen, Qing-Tang Zhu
The treatment of tibial plafond fractures is challenging to foot and ankle surgeons. Open reduction and internal fixation and limited internal fixation combined with an external fixator are 2 of the most commonly used methods of tibial plafond fracture repair. However, conclusions regarding the superior choice remain controversial. The present meta-analysis aimed to quantitatively compare the postoperative complications between open reduction and internal fixation and limited internal fixation combined with an external fixator for tibial plafond fractures...
July 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Heitor Okanobo, Bharti Khurana, Scott Sheehan, Alejandra Duran-Mendicuti, Afshin Arianjam, Stephen Ledbetter
Ankle injuries occur in a predictable sequence, allowing a logical understanding of their classification once the injury mechanism is recognized. The Lauge-Hansen classification system was developed on the basis of the mechanism of trauma and is useful for guiding treatment. Three radiographic views of the ankle (anteroposterior, mortise, and lateral) are necessary to classify an injury with the Lauge-Hansen system. Two additional criteria are also necessary: the position of the foot at the time of injury and the direction of the deforming force...
March 2012: Radiographics: a Review Publication of the Radiological Society of North America, Inc
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